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Indiana rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.73 / $1,386.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.04 / $600.73 / $911.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.00 / $5,948.00 / $9,462.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.67 / $624.59 / $886.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.91 / $716.16 / $826.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.89 / $632.15 / $826.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,243.79 / $2,243.79 / $2,243.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.87 / $698.25 / $1,267.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.53 / $646.91 / $1,040.68